Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.08 / $651.08 / $1,321.39	Facility		$651.08	$651.08	$1,321.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.34 / $651.08 / $651.08	Professional		$391.34	$651.08	$651.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.91 / $1,297.58 / $1,598.02	Facility		$796.91	$1,297.58	$1,598.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.02 / $656.08 / $656.09	Professional		$609.02	$656.08	$656.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.12 / $673.11 / $673.11	Facility		$541.12	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $1,206.38	Professional		$491.37	$673.11	$1,206.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $651.08 / $1,018.36	Facility		$281.75	$651.08	$1,018.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $492.00 / $614.00	Professional		$492.00	$492.00	$614.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.70 / $1,049.70 / $1,614.00	Professional		$1,049.70	$1,049.70	$1,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.71 / $436.42 / $672.51	Professional		$341.71	$436.42	$672.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,946.69 / $5,540.26 / $5,540.26	Facility		$1,946.69	$5,540.26	$5,540.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,301.89 / $6,301.89 / $6,560.85	Professional		$6,301.89	$6,301.89	$6,560.85